{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T18:17:07Z","timestamp":1762193827144,"version":"build-2065373602"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,4,21]],"date-time":"2016-04-21T00:00:00Z","timestamp":1461196800000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007251","name":"Missouri Department of Transportation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007251","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To model the relative contributions of driver data and clinical judgments to clinical ratings of driver capability for a state licensing authority and to compare ratings with on\u2010road test results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective, logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Missouri Driver License Bureau.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Adults aged 60 and older (N\u00a0=\u00a0652; 52% male) evaluated by a physician of their choosing and a portion subsequently road tested (n\u00a0=\u00a0286).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Clinical data from an evidence\u2010based physician statement (Form 1528). A three\u2010level rating (likely capable, unclear, not capable) was collapsed into two outcomes (0 likely capable; 1 unclear, not capable) as the dependent variable. Independent variables (predictors) were age, sex, driving exposure, recent crash or police action, number of medical conditions, medication side effects, driver insight, and disease functional severity rating for driving.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three variables in the model (Nagelkerke coefficient of determination\u00a0=\u00a00.64;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001) were significant in the expected direction: disease functional severity for driving (odds ratio (OR\u00a0=\u00a06.65), insight (OR\u00a0=\u00a02.35), and age (OR\u00a0=\u00a01.06). Proportionately more drivers rated likely capable (73%) passed the road test than those rated unclear or not capable (62%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Judgments of disease severity, decrements in driver insight, and older age influenced clinician ratings of driving capability. Correspondence of physician ratings to on\u2010road test outcomes was imperfect, highlighting the complexities in translation of clinical judgments to on\u2010road performance. Both means of assessment have important and additive roles in driver licensing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.14022","type":"journal-article","created":{"date-parts":[[2016,4,21]],"date-time":"2016-04-21T16:16:50Z","timestamp":1461255410000},"page":"849-854","source":"Crossref","is-referenced-by-count":2,"title":["Clinician Effectiveness in Assessing Fitness to Drive of Medically At\u2010Risk Older Adults"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1970-1651","authenticated-orcid":false,"given":"Thomas M.","family":"Meuser","sequence":"first","affiliation":[{"name":"Department of Sociology, Gerontology and Gender University of Missouri at St. Louis  St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marla","family":"Berg\u2010Weger","sequence":"additional","affiliation":[{"name":"College for Public Health and Social Justice Saint Louis University  St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David B.","family":"Carr","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Nutritional Science Department of Internal Medicine Washington University  St. Louis Missouri"},{"name":"Division of Neurorehabilitation Department of Neurology School of Medicine Washington University  St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaoxuan","family":"Shi","sequence":"additional","affiliation":[{"name":"School of Nursing University of Washington  Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Stewart","sequence":"additional","affiliation":[{"name":"School of Social Work Saint Louis University  St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,4,21]]},"reference":[{"volume-title":"Physician's Guide to Assessing and Counseling Older Drivers","year":"2010","author":"Carr DB","key":"e_1_2_6_2_1"},{"key":"e_1_2_6_3_1","first-page":"14","article-title":"Driver safety in older adults: The physician's role in assessing driving skills of older patients","volume":"61","author":"Odenheimer GL","year":"2006","journal-title":"Geriatrics"},{"key":"e_1_2_6_4_1","first-page":"105","volume-title":"2008 North American License Policies Workshop Proceedings","author":"Meuser TM","year":"2008"},{"volume-title":"CMA Driver's Guide: Determining Medical Fitness to Operate Motor Vehicles","year":"2012","author":"Canadian Medical Association","key":"e_1_2_6_5_1"},{"volume-title":"Assessing Fitness to Drive for Commercial and Private Vehicle Drivers","year":"2012","key":"e_1_2_6_6_1"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181da3b0f"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201304-0726ST"},{"key":"e_1_2_6_9_1","first-page":"1313","article-title":"CCS Consensus Conference 2003: Assessment of the cardiac patient for fitness to drive and fly\u2014Executive summary","volume":"20","author":"Simpson C","year":"2004","journal-title":"Can J Cardiol"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.94.5.1147"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.481"},{"key":"e_1_2_6_12_1","first-page":"1029","article-title":"Older adult drivers with cognitive impairment","volume":"73","author":"Carr DB","year":"2006","journal-title":"Am Fam Physician"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-4575(97)00098-5"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/63.1.P6"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2007.10.012"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2008.11.003"},{"volume-title":"Literature Review of Polypharmacy and Older Drivers: Identifying Strategies to Study Drug Usage and Driving Functioning Among Older Drivers. Report DOT HS 810 558","year":"2010","author":"Lococo KH","key":"e_1_2_6_17_1"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-006-0043-x"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/46.5.680"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/45.5.676"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000259514.85579.e0"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2004.52025.x"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/02701960.2010.528273"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/02701960.2013.823603"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2011.12.009"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.00568.x"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13508"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/15389580802117184"},{"volume-title":"Medical Fitness to Drive and a State Voluntary Reporting Law: Characteristics of Reported Older Drivers and Safety Outcomes","year":"2008","author":"Meuser TM","key":"e_1_2_6_29_1"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.14022","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.14022","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.14022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T18:05:44Z","timestamp":1762193144000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.14022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1111\/jgs.14022"],"URL":"https:\/\/doi.org\/10.1111\/jgs.14022","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"type":"print","value":"0002-8614"},{"type":"electronic","value":"1532-5415"}],"subject":[],"published":{"date-parts":[[2016,4]]}}}